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关节镜下肩袖修复术后急性短暂性腮腺炎的罕见并发症:一例报告

Rare complication of acute transient parotitis after arthroscopic rotator cuff repair: a case report.

作者信息

Yoon Ji Young, Chun Sang Ok, Oh Joo Han, Jeon Young Dae

机构信息

Department of Orthopedic Surgery, National Police Hospital, Seoul, Korea.

Department of Orthopedic Surgery, Seoul National University Bundang Hospital, Seoul National University College of Medicine, Seongnam, Korea.

出版信息

Clin Shoulder Elb. 2025 Mar;28(1):121-125. doi: 10.5397/cise.2024.00444. Epub 2024 Dec 30.

Abstract

Acute postoperative parotitis, also known as anesthesia mumps, involves transient inflammation and enlargement of the parotid gland after general anesthesia. No case reports of acute postoperative parotitis after arthroscopic shoulder surgery have been reported to date. Therefore, we share our experience with a recent case of acute postoperative parotitis as a rare complication of arthroscopic rotator cuff repair in lateral decubitus position. Symptoms can be unilateral or bilateral, painless, and often resolve spontaneously within hours or days; in rare cases, such as upper airway obstruction, the condition can be fatal. Treatment options for parotitis vary from conservative to surgical depending on severity, and outcomes also vary. Therefore, orthopedic surgeons should be aware that this rare complication can occur after surgery, and patients should be warned before surgery.

摘要

急性术后腮腺炎,也称为麻醉性腮腺炎,是指全身麻醉后腮腺出现短暂的炎症和肿大。迄今为止,尚未有关于关节镜下肩部手术后发生急性术后腮腺炎的病例报告。因此,我们分享近期一例急性术后腮腺炎的病例,该病例是侧卧位关节镜下肩袖修复术罕见的并发症。症状可以是单侧或双侧的,无痛,通常在数小时或数天内自行缓解;在极少数情况下,如出现上呼吸道梗阻,病情可能会致命。腮腺炎的治疗方案根据严重程度不同,从保守治疗到手术治疗不等,治疗结果也各不相同。因此,骨科医生应意识到这种罕见的并发症可能在手术后发生,并且应在手术前告知患者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fef8/11938909/ce7cca8f37e9/cise-2024-00444f1.jpg

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本文引用的文献

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Acute Unilateral Swelling of Parotid Gland After General Anesthesia: Anesthesia Mumps.全身麻醉后腮腺急性单侧肿胀:麻醉性腮腺炎
Balkan Med J. 2019 Oct 28;36(6):363-.363. doi: 10.4274/balkanmedj.galenos.2019.2019.6.103. Epub 2019 Aug 26.
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A case of anesthesia mumps.一例麻醉性腮腺炎病例。
Anesth Analg. 2007 Apr;104(4):1005. doi: 10.1213/01.ane.0000258824.59125.f8.

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